Professional Documents
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Article history:
Received 14 August 2001
Available online 13 September 2012
Keywords:
Environment-sensitive hydrogels
Drug delivery
Stimuli-sensitive hydrogels
Smart hydrogels
a b s t r a c t
Environmentally sensitive hydrogels have enormous potential in various applications. Some environmental
variables, such as low pH and elevated temperatures, are found in the body. For this reason, either pH-sensitive
and/or temperature-sensitive hydrogels can be used for site-specic controlled drug delivery. Hydrogels that are
responsive to specic molecules, such as glucose or antigens, can be used as biosensors as well as drug delivery
systems. Light-sensitive, pressure-responsive and electro-sensitive hydrogels also have the potential to be used
in drug delivery and bioseparation. While the concepts of these environment-sensitive hydrogels are sound, the
practical applications require signicant improvements in the hydrogel properties. The most signicant weakness
of all these external stimuli-sensitive hydrogels is that their response time is too slow. Thus, fast-acting hydrogels
are necessary, and the easiest way of achieving that goal is to make thinner and smaller hydrogels. This usually
makes the hydrogel systems too fragile and they do not have mechanical strength necessary in many applications.
Environmentally sensitive hydrogels for drug delivery applications also require biocompatibility. Synthesis of new
polymers and crosslinkers with more biocompatibility and better biodegradability would be essential for successful
applications. Development of environmentally sensitive hydrogels with such properties is a formidable challenge. If
the achievements of the past can be extrapolated into the future, however, it is highly likely that responsive
hydrogels with a wide array of desirable properties can be made.
2012 Elsevier B.V. All rights reserved.
Contents
1.
2.
3.
4.
Introduction . . . . . . . . . . . . . . . . . . . . . . . .
Temperature-sensitive hydrogels . . . . . . . . . . . . . . .
2.1.
Polymer structures . . . . . . . . . . . . . . . . . .
2.2.
Properties of temperature-sensitive hydrogels . . . . .
2.3.
Applications of temperature-sensitive hydrogels . . . .
2.3.1.
Negatively thermosensitive drug release systems
2.3.2.
Positively thermosensitive drug release systems
2.3.3.
Thermoreversible gels . . . . . . . . . . . .
2.4.
Limitations and improvements . . . . . . . . . . . .
pH-sensitive hydrogels . . . . . . . . . . . . . . . . . . .
3.1.
Polymer structures . . . . . . . . . . . . . . . . . .
3.2.
Properties of pH-sensitive hydrogels . . . . . . . . . .
3.3.
Applications of pH-sensitive hydrogels . . . . . . . . .
3.3.1.
Controlled drug delivery . . . . . . . . . . .
3.3.2.
Other applications . . . . . . . . . . . . . .
3.4.
Limitations and improvements . . . . . . . . . . . .
Glucose-sensitive hydrogels . . . . . . . . . . . . . . . . .
4.1.
pH-sensitive membrane systems . . . . . . . . . . . .
4.2.
Con A-immobilized systems . . . . . . . . . . . . . .
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Abbreviations: IPN, interpenetrating polymer network; LCST, lower critical solution temperature; PAAm, poly(acrylamide); BMA, butyl methacrylate; PNIAAm,
poly(N-isopropylacrylamide); PDEAAm, poly(N,N-diethylacrylamide); PEG, poly(ethylene glycol); PEO, poly(ethylene oxide); PPO, poly(propylene oxide); poly(acrylic acid),
poly(acrylic acid); PMA, poly(methacrylic acid); PLA, poly(L-lactic acid); PDEAEM, poly(N,N-diethylaminoethyl methacrylate); DMAEM, N,N-dimethylaminoethyl methacrylate; PVD,
poly(vinylacetaldiethylaminoacetate); PVA, poly(vinylalcohol); Con A, concanavalin A.
PII of original article: S0169-409X(01)00203-4. The article was originally published in Advanced Drug Delivery Reviews 53 (2001) 321339.
Corresponding author. Tel.: +1 765 494 7759; fax: +1 765 496 1903.
E-mail address: kpark@purdue.edu (K. Park).
0169-409X/$ see front matter 2012 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.addr.2012.09.024
50
4.3.
Solgel phase reversible hydrogel systems . . .
4.4.
Limitations and improvements . . . . . . . . .
5.
Electric signal-sensitive hydrogels . . . . . . . . . . .
5.1.
Properties of electro-sensitive hydrogels . . . .
5.2.
Applications of electro-sensitive hydrogels . . .
5.2.1.
Applications in drug delivery . . . . .
5.2.2.
Applications in other areas . . . . . .
5.2.3.
Limitations and improvements . . . .
6.
Light-sensitive hydrogels . . . . . . . . . . . . . . .
6.1.
Properties of light-sensitive hydrogels . . . . .
6.2.
Applications . . . . . . . . . . . . . . . . .
6.3.
Limitations and improvements . . . . . . . . .
7.
Other stimuli sensitive hydrogels . . . . . . . . . . .
7.1.
Pressure-sensitive hydrogels . . . . . . . . . .
7.2.
Specic ion-sensitive hydrogels . . . . . . . .
7.3.
Specic antigen-responsive hydrogels . . . . .
7.4.
Thrombin-induced infection-responsive hydrogels
8.
Summary . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . .
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1. Introduction
Controlled drug delivery systems, which are intended to deliver
drugs at predetermined rates for predened periods of time, have
been used to overcome the shortcomings of conventional drug formulations. Although signicant progress has been made in the controlled
drug delivery area, more advances are yet to be made for treating
many clinical disorders, such as diabetes and rhythmic heart disorders.
In these cases, the drug has to be delivered in response to uctuating
metabolic requirements or the presence of certain biomolecules in the
body. In fact, it would be most desirable if the drugs could be administered in a manner that precisely matches physiological needs at proper
times (temporal modulation) and/or at the proper site (site-specic
targeting). In addition, the controlled drug delivery area needs further
development of techniques for delivery of peptide and protein drugs.
In the body, the appearance of numerous bioactive peptides is tightly
controlled to maintain a normal metabolic balance via a feedback system called homeostasis [1]. It would be highly benecial if the active
agents were delivered by a system that sensed the signal caused by disease, judged the magnitude of signal, and then acted to release the right
amount of drug in response. Such a system would require coupling of
the drug delivery rate with the physiological need by means of some
feedback mechanism.
Hydrogels have been used extensively in the development of the
smart drug delivery systems. A hydrogel is a network of hydrophilic
polymers that can swell in water and hold a large amount of water
while maintaining the structure. A three-dimensional network is
formed by crosslinking polymer chains. Crosslinking can be provided
by covalent bonds, hydrogen bonding, van der Waals interactions, or
physical entanglements [2,3]. Hydrogels can protect the drug from
hostile environments, e.g. the presence of enzymes and low pH in
the stomach. Hydrogels can also control drug release by changing
the gel structure in response to environmental stimuli. Hydrogels
containing such sensor properties can undergo reversible volume
phase transitions or gelsol phase transitions upon only minute
changes in the environmental condition. The types of environmentsensitive hydrogels are also called Intelligent or smart hydrogels
[4]. Many physical and chemical stimuli have been applied to induce
various responses of the smart hydrogel systems. The physical stimuli
include temperature, electric elds, solvent composition, light, pressure,
sound and magnetic elds, while the chemical or biochemical stimuli
include pH, ions and specic molecular recognition events [5,6]. Smart
hydrogels have been used in diverse applications, such as in making articial muscles [711], chemical valves [12], immobilization of enzymes
and cells [1321], and concentrating dilute solutions in bioseparation
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underwent temperature-induced collapse due to the cooperative conformational transition. Using temperature-sensitive crosslinking agents
adds a new dimension in designing temperature-sensitive hydrogels.
2.3. Applications of temperature-sensitive hydrogels
Temperature-sensitive hydrogels have been studied most extensively
and their unique applications have been reviewed in depth before
[1,15,28,29,31,32]. For convenience, temperature-sensitive hydrogels
are classied into negatively thermosensitive, positively thermosensitive,
and thermally reversible gels.
2.3.1. Negatively thermosensitive drug release systems
Thermosensitive monolithic hydrogels were used to obtain an
onoff drug release prole in response to a stepwise temperature
change [3840]. The hydrogels used in these studies include crosslinked
P(NIPAAmco-BMA) hydrogels [4042], and interpenetrating polymer
networks (IPNs) of P(NIPAAm) and poly(tetramethyleneether glycol)
(PTMEG). Hydrophobic comonomer BMA was introduced into NIPAAm
gels to increase their mechanical strength. The onoff release prole of
indomethacin from these matrices was achieved with on at low temperature and off at high temperature. It was explained by the formation of a
dense, less permeable surface layer of gel, described as a skin-type barrier.
The skin barrier was formed upon a sudden temperature change due to
the faster collapse of the gel surface than the interior. This surface shrinking process was found to be regulated by the length of the methacrylate
alkyl side-chain, i.e. the hydrophobicity of the comonomer [43,44]. The
results also suggested that the drug in the polymeric matrices diffused
52
from the inside to the surface during the off state even when no drug
release was seen.
Temperature-sensitive hydrogels can also be placed inside a rigid
capsule containing holes or apertures. As shown in Fig. 3, the onoff
release is achieved by the reversible volume change of temperaturesensitive hydrogels [45,46]. Such a device is called a squeezing hydrogel device because the drug release is affected by the hydrogel dimension. In addition to temperature, hydrogels can be made to respond to
other stimuli, such as pH. In this type of system, the drug release rate
was found to be proportional to the rate of squeezing of the drugloaded polymer.
Temperature-sensitive hydrogels can be secured by placing them
inside a rigid matrix or by grafting them to the surface of rigid membranes. A composite membrane was prepared by dispersing PNIPAAm
hydrogel microparticles into a crosslinked gelatin matrix [47]. The
release of a model drug, 4-acetamidophen, was dependent on the temperature which determined the swelling status of the PNIPAAm hydrogel microparticles in the microchannels of the membrane. A similar
approach was used to develop a reservoir type microcapsule drug delivery system by encapsulating the drug core with ethylcellulose containing
nano-sized PNIPAAm hydrogel particles [48]. For making stable thermally controlled onoff devices, PNIPAAm hydrogel can be grafted onto the
entire surface of a rigid porous polymer membrane [49].
2.3.2. Positively thermosensitive drug release systems
Certain hydrogels formed by IPNs show positive thermosensitivity,
i.e. swelling at high temperature and shrinking at low temperature.
IPNs of poly(acrylic acid) and polyacrylamide (PAAm) or P(AAm
co-BMA) have positive temperature dependence of swelling [50].
Increasing the BMA content shifted the transition temperature to higher
temperature. The swelling of those hydrogels was reversible, responding
to stepwise temperature changes. This resulted in reversible changes in
the release rate of a model drug, ketoprofen, from a monolithic device.
2.3.3. Thermoreversible gels
The most commonly used thermoreversible gels are Pluronics
and Tetronics . Some of them have been approved by FDA and EPA
for applications in food additives, pharmaceutical ingredients and agricultural products. A review on the properties and applications of
Pluronics in drug delivery is available [28]. For parenteral application
of thermoreversible gels, it is most desirable that they are biodegradable. To add biodegradable capacity, the PPO segment of PEOPPO
PEO block copolymers is often replaced by a biodegradable poly(L-lactic
acid) segment [5153]. The molecular architecture was not limited to the
ABA type block copolymer, but expanded into three-dimensional,
hyperbranched structures, such as a star-shaped structure. Proper combinations of molecular weight and polymer architecture resulted in
gels with different LCST values. When the hydrogel was formed
by injecting the polymer solution loaded with model drugs into a
37 C aqueous environment, the release of a hydrophilic model
Fig. 3. Schematic illustration of onoff release from a squeezing hydrogel device for
drug delivery (from Ref. [46]).
53
the release was limited to an initial burst. At pH 6.8, the network became ionized and higher swelling resulted in increased release.
Poly(vinylacetaldiethylaminoacetate) (PVD) has pH-dependent
aqueous solubility. Both the turbidity and SEM results showed that
PVD formed a hydrogel upon increase in pH from 4 to 7.4 [66]. The
release of a model drug, chlorpheniramine maleate, was fast right
after the PVD solution was introduced into a pH 7.4 buffer solution,
but became very slow after the PVD hydrogel was formed [66]. The
pH-dependent sol-to-gel transformation of AEA was used to develop
nasal spray dosage forms for treating allergic rhinitis and sinusitis
[67]. The in vivo rat study showed that the apparent disappearance
rate constant of chlorpheniramine maleate decreased with increase
in the PVD concentration. The hydrogel formation on the mucous
membranes in the rat nasal cavity was visually conrmed. If the
time for sol-to-gel transition is shortened and the mucoadhesive
property is added, the PVD system could be an ideal system for
nasal delivery.
Hydrogels that are responsive to both temperature and pH can be
made by simply incorporating ionizable and hydrophobic (inverse
thermosensitive) functional groups to the same hydrogels. When a
small amount of anionic monomer, such as acrylic acid, is incorporated in a thermoreversible polymer, the LCST of the hydrogel depends
on the ionization of the pendant carboxyl groups, i.e. the pH of the
medium. As the pH of the medium increases above the pKa of the carboxyl groups of polyanions, LCST shifts to higher temperatures due to
the increased hydrophilicity and charge repulsion. Terpolymer hydrogels
made of NIPAAm, vinyl terminated polydimethylsiloxane macromer and
acrylic acid were used for the delivery of indomethacin and amylase
[36,68]. Other terpolymer hydrogels containing NIPAAm, acrylic acid
and 2-hydroxyethyl methacrylate were prepared for the pulsatile delivery of streptokinase and heparin as a function of stepwise pH and temperature changes [69,70].
3.3.2. Other applications
pH-sensitive hydrogels have also been used in making biosensors
and permeation switches [5]. The pH-dependent hydrogels for these
applications are usually loaded with enzymes that change the pH of
the local microenvironment inside the hydrogels. One of the common
enzymes used in pH-sensitive hydrogels is glucose oxidase which
transforms glucose to gluconic acid. The formation of gluconic acid
lowers the local pH, thus affecting the swelling of pH-dependent
hydrogels.
54
result of lowering the pH. In this case, insulin release is enhanced due
to the squeezing action of the collapsing hydrogel [76]. In a system
where a glucose oxidase-containing hydrogel covers a pH-sensitive
erodible polymer that contains insulin, the polymer erosion, and thus
insulin release, is controlled by the lowering of the local pH [77].
4.2. Con A-immobilized systems
Concanavalin A (Con A) has also been frequently used in modulated
insulin delivery. Con A is a glucose-binding protein obtained from the
jack bean plant, Canavalia ensiformis. In this type of system, insulin molecules are attached to a support or carrier through specic interactions
which can be interrupted by glucose itself. This generally requires the
introduction of functional groups onto insulin molecules. In one approach, insulin was chemically modied to introduce glucose, which
themselves binds especially to Con A [78]. The glycosylated insulin
Con A system exploits the complementary and competitive binding
behavior of Con A with glucose and glycosylated insulin. The free glucose molecules compete with glucoseinsulin conjugates bound to
Con A and thus, the glycosylated insulin is desorbed from the Con A
host in the presence of free glucose. The desorbed glucoseinsulin
conjugates are released within the surrounding tissue, where studies
have shown that they are bioactive. Various glycosylated insulins
having different binding afnities to Con A have been synthesized in
an effort to manipulate the displacement of immobilized insulin from
Con A at different glucose levels [7984].
4.3. Solgel phase reversible hydrogel systems
Hydrogels can be made to undergo solgel phase transformations
depending on the glucose concentration in the environment. Reversible
solgel phase transformations require glucose-responsive crosslinking.
A highly specic interaction between glucose and Con A was used
to form crosslinks between glucose-containing polymer chains. Since
Con A exists as a tetramer at physiological pH and each subunit has a
glucose binding site, Con A can function as a crosslinking agent for
glucose-containing polymer chains. Because of the non-covalent interaction between glucose and Con A, the formed crosslinks are reversible,
as shown in Fig. 6 [8589]. As the external glucose molecules diffuse
into the hydrogel, individual free glucose molecules can compete with
the polymer-attached glucose molecules and exchange with them.
The concentrations of Con A and glucose-containing polymers can be
adjusted to make hydrogels that respond (i.e. undergo gel-to-sol transformation) at specic free glucose concentrations. It has been shown
that diffusion of insulin through the solution (Sol) phase is an
order of magnitude faster than that through the hydrogel (gel)
phase, and that insulin release can be controlled as a function of
the glucose concentration in the environment. Other similar systems
utilized poly(glucosyloxyethylmethacrylate)Con A complexes [90,91]
and polysaccharide (e.g. polysucrose, dextran, glycogen)Con A gel
membranes [9294].
Glucose-sensitive phase-reversible hydrogels can also be prepared
without using Con A. Polymers having phenylboronic groups (e.g. poly
[3-(acrylamido)phenylboronic acid] and its copolymers) and polyol
polymers (e.g. PVA) form a gel through complex formation between
the pendant phenylborate and hydroxyl groups, as shown in Fig. 7
[9597]. Glucose, having pendant hydroxyl groups, competes with
polyol polymers for the borate cross-linkages. Since glucose is
monofunctional (i.e. has only one binding site for the borate group), it
cannot function as a crosslinking agent as polyol polymer does. Thus,
as the glucose concentration increases, the crosslinking density of the
gel decreases and the gel swells/erodes to release more insulin. With
higher glucose concentrations, the gel becomes a sol. The glucose exchange reaction is reversible and borate-polyol crosslinking is reformed
at a lower glucose concentration. Instead of long chain polyol polymers,
shorter molecules, such as diglucosylhexanediamine, can be used as a
55
Fig. 6. Solgel phase-transition of a glucose-sensitive hydrogel. Large circles represent Con A, a glucose-binding protein. Small open and closed hexagons represent polymer-attached glucose
and free glucose, respectively.
crosslinking agent. Since the phenylboronic acid gel is sensitive to glucose only at alkaline conditions (pH 9), various copolymers containing
phenylboronic acid were synthesized to provide glucose sensitivity at
physiological pH. The main problem of this system is the low specicity
of PBA-containing polymers to glucose.
Fig. 7. Solgel phase-transition of a phenylborate polymer. At alkaline pH, phenylborate polymer interacts with poly(vinyl alcohol) (PVA) to form a gel. Glucose replaces PVA to
induce a transition from the gel to the sol phase.
56
57
58
Fig. 9. Swelling of an antigenantibody semi-IPN hydrogel in response to free antigen (from Ref. [117]).
59
60
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